• Kenya has a wide infrastructure of health care services.
• 4,200 public and private facilities.
• 30,000 health care workers.
• Ministry of health runs 51% of the facilities.
• Religious and private companies the other 49%.
• But, there are a number of obstacles

• Affordability, quality of care and an ineffective referral system.
• Most doctors, hospital beds and pharmacists are in urban areas.
• Only 20% of the population lives in urban settings.
• Chronic shortages of medical supplies at public facilities.
• In underserved areas (north and northwest), people who cannot afford private health care bear the brunt of shortages in the public sector.
• Annual Ministry of Health per capita expenditures down from $9.50 in 1981 to $6.30 in 1998.

Still there's hope.